Organization Active NPI

Natividad Medical Group

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1306025754
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NATIVIDAD MEDICAL GROUP
Practice address
1441 Constitution Blvd Ste 101
Salinas, CA 93906-3196
Phone
(831) 759-0674
Fax
(831) 755-4087
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vince J.L. Carr
Title
Business Office Director
Phone
(831) 755-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

1441 Constitution Blvd Ste 101
Salinas, CA 93906-3196

Mailing address

PO Box 80007
Salinas, CA 93912-0007
Phone (831) 755-4111

National Provider Directory

National Provider Directory

Locations

1441 Constitution Blvd
Ste 101
Salinas, CA 93906
Phone (831) 755-4124

1615 Bunker Hill Way
Ste 250
Salinas, CA 93906

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306025754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80007",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939120007",
            "telephone_number": "831-755-4111",
            "fax_number": "831-755-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063196",
            "telephone_number": "831-759-0674",
            "fax_number": "831-755-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVIDAD MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "VINCE",
        "authorized_official_middle_name": "J.L.",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "831-755-4111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.